Medicare Billing Software

Written by Kimberly Clark
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Unfortunately for most healthcare providers, collecting payment for services rendered to Medicare patients usually does not end with the electronic transmission of their claims. For this reason, many healthcare providers have decided to invest in efficient Medicare billing software. The best products are those that notify the providers that the transmission was actually sent to the payer and also take into account the entire billing process from invoicing to collection.

The software should include checks and balances that ensure that only compliant claims are being created. This can maximize hospital efficiency, and cut down on unnecessary claims that are later denied. If necessary it should allow the provider to easily edit their claims. To be totally efficient, any software should also have an audit capability that automatically maintains a log of all the changes made.

Providers should also look for a product that gives them the ability to track the payment status of the claim. When they receive the explanation of what Medicare will and will not pay for, the providers will likely want a mechanism for generating secondary and tertiary claims. These claims will be submitted to any additional healthcare plans the patient is covered under.

Denied Medicare Claims

To healthcare providers, denied claims are equivalent to lost revenue. But by using comprehensive Medicare billing software, they now have all information about the claim stored in a central location. This allows the providers to easily generate reports that they can analyze. If administrators can identify the reasons why the claims were denied, they can reduce or eliminate future occurrences.


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